Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.

NPI: 1942423579 · BRONX, NY 10461 · Specialist · NPI assigned 04/11/2007

$6.74M
Total Medicaid Paid
187,488
Total Claims
124,565
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOPAL, SIREEN (OWER)
NPI Enumeration Date04/11/2007

Related Entities

Other providers sharing the same authorized official: GOPAL, SIREEN

ProviderCityStateTotal Paid
NEW YORK ADVANCED SURGICAL INTERVENTION CARE, PLLC BRONX NY $453K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,756 $1.87M
2019 43,969 $1.70M
2020 33,998 $1.31M
2021 29,392 $752K
2022 15,983 $485K
2023 15,276 $385K
2024 10,114 $240K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,430 13,382 $1.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,269 11,142 $946K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,907 14,523 $865K
97530 Therapeutic activities, direct patient contact, each 15 minutes 20,748 10,450 $546K
64635 746 730 $269K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,843 1,836 $223K
64484 822 814 $223K
64493 1,168 1,126 $217K
64636 742 730 $212K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 56 56 $196K
27096 1,290 1,236 $166K
64483 817 811 $162K
97162 2,666 2,661 $159K
L0631 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 315 313 $127K
64494 1,149 1,123 $108K
64490 429 400 $108K
64495 1,097 1,067 $105K
99358 Prolong nursin fac eval 15m 896 888 $94K
S0020 Injection, bupivicaine hydrochloride, 30 ml 9,219 8,457 $92K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,894 2,129 $89K
95886 413 396 $60K
97010 33,881 13,705 $57K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 2,738 2,705 $53K
64491 425 397 $53K
64492 406 379 $51K
20552 1,340 1,326 $49K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 5,176 2,177 $44K
97014 5,125 2,420 $43K
97161 694 685 $39K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,699 900 $36K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 5,246 4,956 $30K
99491 Ccm add 20min 582 581 $29K
95911 136 130 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 218 208 $19K
76942 173 169 $17K
99152 443 443 $17K
95938 52 52 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 269 267 $11K
20610 168 164 $11K
76881 116 110 $9K
77002 169 169 $9K
20606 91 87 $8K
95923 65 62 $6K
64633 16 15 $6K
64634 16 15 $5K
99153 Mod sedat endo service >5yrs 412 412 $3K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 5,835 5,324 $3K
95921 53 50 $3K
93922 33 32 $3K
99354 20 19 $2K
99072 1,888 1,804 $2K
01936 30 30 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 24 $757.92
99000 734 702 $698.34
99490 Ccm add 20min 41 41 $570.11
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 49 30 $294.60
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 27 27 $233.20
96103 35 35 $216.06
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 16 $170.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 131 131 $99.32
J2250 Injection, midazolam hydrochloride, per 1 mg 81 81 $85.82
97139 293 287 $0.84
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 103 98 $0.45
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 642 629 $0.16
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 5,477 5,203 $0.11
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,192 1,153 $0.00
3288F 353 353 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 451 309 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 122 122 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 153 152 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 27 27 $0.00
A4550 Surgical trays 13 13 $0.00
1036F 821 797 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 12 12 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 231 231 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 17 17 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00